Carly Provan, CRNA - Nurse Anesthetist, Certified Registered in Bradenton, FL

Carly Provan, CRNA is a Nurse Anesthetist, Certified Registered based in Bradenton, Florida. Carly Provan is licensed to practice in Florida (license number RN9514153) and her current practice location is 8000 State Road 64 E, Bradenton, Florida. She can be reached at her office (for appointments etc.) via phone at (941) 792-1404.

NPI number for Carly Provan is 1003675992 and her current mailing address is 12912 Usf Health Drive, Tampa, Florida. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1003675992.

Contact Information

Carly Provan, CRNA
8000 State Road 64 E,
Bradenton, FL 34212-7703
(941) 792-1404
Not Available



Provider's Profile

Full NameCarly Provan
GenderFemale
SpecialityNurse Anesthetist, Certified Registered
Location8000 State Road 64 E, Bradenton, Florida
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1003675992
  • Provider Enumeration Date: 03/14/2024
  • Last Update Date: 03/14/2024

Medical Identifiers

Medical identifiers for Carly Provan such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1003675992NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
367500000XNurse Anesthetist, Certified Registered RN9514153 (Florida)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carly Provan is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carly Provan, CRNA
12912 Usf Health Drive,
Tampa, FL 33612

Ph: () -
Carly Provan, CRNA
8000 State Road 64 E,
Bradenton, FL 34212-7703

Ph: (941) 792-1404

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› Verified 8 days ago


Nurse Anesthetist, Certified Registered Nurses in Bradenton, FL

Laura Ann Martin, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2010 59th St W, Ste 5600, Bradenton, FL 34209
Phone: 941-798-3524    
Cynthia Chandler Gibson, CRNA
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 7118 Hawks Harbor Cir, Bradenton, FL 34207
Phone: 941-350-2039    
Mr. Steven Stanley Walther, CRNA
Nurse Anesthetist - CR
Medicare: Medicare Enrolled
Practice Location: 6015 Pointe West Blvd, Bradenton, FL 34209
Phone: 941-792-1404    Fax: 941-761-0712
Anthony Eleuterio Marchiano, CRNA
Nurse Anesthetist - CR
Medicare: Not Enrolled in Medicare
Practice Location: 6640 Anchor Loop, Apt 108, Bradenton, FL 34212
Phone: 941-567-6926    Fax: 941-567-6926
Chasity Kentros,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 2010 59th St W, #4650, Bradenton, FL 34209
Phone: 941-798-3524    
Kasey Allen Spivey,
Nurse Anesthetist - CR
Medicare: Accepting Medicare Assignments
Practice Location: 206 2nd St E, Bradenton, FL 34208
Phone: 941-524-9113    

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